AFCONS INFRASTRUCTURE LIMITED

Afcons House, 16, Shah Industrial Estate, Veera Desai Road,

Azad Nagar P.O., P.O.Box No. 11978, Andheri (W), Mumbai – 400 053.
Phone : 67191000 . Fax : 022-2673 0047 / 2673 1031 . E – mail : hr@afcons.com
APPLICATION FORM

AFFIX YOUR
RECENT
PASSPORT SIZE
COLOUR
PHOTOGRAPH

POSITION APPLIED FOR :_______________________________________________________________

(A) PERSONAL
NAME : _______________________________________________________________________(IN BLOCK LETTERS )
(SURNAME) (FIRST NAME) (FATHER / HUSBAND NAME)

PERMANENT ADDRESS PRESENT ADDRESS

TEL NO : TEL NO (Off.): (Res.):

E - MAIL ID. MOBILE NO :

DATE OF BIRTH: / / AGE: NATIVE PLACE:

NATIONALITY / RELIGION: MARITAL STATUS:

FAMILY PARTICULARS:
1) FATHER’S / HUSBAND‘S OCCUPATION :_________________________________________________________
2) NUMBER OF CHILDERN :_____________________________________________________________________

3) NUMBER OF DEPENDENTS :__________________________________________________________________

4) PERSON TO BE CONTACTED IN EMERGENCY :____________________________________________________

TEL NO :
ADDRESS:

1
HEALTH:
HEIGHT: ____________________________ WEIGHT : ________________________ VISION :___________________

BLOOD GROUP: ______________________

MAJOR ILLNESS IF ANY: ___________________________________________________________________________

MAJOR ACCIDENT IF ANY: _________________________________________________________________________

LANGUAGES KNOWN: (HIGHLIGHT MOTHER TONGUE )

READ WRITE SPEAK

(B) EDUCATION :

(START WITH SSC OR EQUIVALENT EXAMINATION)

(PLEASE ATTACH ATTESTED COPIES OF ALL CERTIFICATES)

YEAR OF PRINCIPAL CLASS & % OF

NAME OF COLLEGE & SCHOOL DEGREE / DIPLOMA / CERTIFICATE
PASSING SUBJECT MARKS

(C) EXPERIENCE : (START FROM LAST / PRESENT EMPLOYER)

SR.
ORGANISATION & LOCATION DESIGNATION FROM TO RESPONSIBILITY HANDLED
NO.

2
LAST SALARY DRAWN: ____________________________________________________________________________
(GIVE DETAILS ON A SEPARATE SHEET AND ENCLOSE)
REASON FOR CHANGE: ____________________________________________________________________________

SALARY EXPECTED: _______________________________________________________________________________

HOW SOON CAN YOU JOIN? :_______________________________________________________________________

(D) TRAINING : (WHILE IN SERVICE OR OTHERWISE)

NAME OF
CONDUCTED BY DURATION YEAR LEARNINGS
COURSE

PROFESSIONAL MEMBERSHIP: ______________________________________________________________________

(E) GENERAL DATA :

1) E.P.F.NUMBER :______________________________________________________________________________

2) PASSPORT NUMBER & VALIDITY DATE: ___________________________________________________________

3) DRIVING LICENCE NUMBER: ____________________________________________________________________

4) VEHICLE NUMBER / DESCRIPTION: ______________________________________________________________

5) COUNTRIES VISITED / TRAVELLED / WORKED: _____________________________________________________

6) ARE YOU WILLING TO WORK ANYWHERE IN INDIA? ________________________________________________

7) HOBBIES: __________________________________________________________________________________

8) PAPERS PUBLISHED (GIVE DETAILS) :_____________________________________________________________

9) HAVE YOU EVER BEEN INTERVIEWED BY US ?______________________________________________________

IF YES FOR WHICH POST_______________________________________________________________________

10) DO YOU HAVE ANY RELATIVES EMPLOYED BY US (GIVE DETAILS)_____________________________________

____________________________________________________________________________________________

(F) PERSONAL REFERENCES : (OTHER THAN RELATIVES)

NAME & DESIGNATION ADDRESS / TELEPHONE OCCUPATION

3
(G) EXPLAIN WHY DO YOU THINK YOU ARE PARTICULARLY SUITED FOR THIS POSITION?

(H) ORGANISATIONAL STRUCTURE SHOWING YOUR POSITION AND NUMBER OF SUBORDINATES REPORTING YOU

(I) I HEREBY DECLARE THAT THE ABOVE INFORMATION GIVEN IS ACCURATE TO THE BEST OF MY KNOWLEDGE IF I
AM EMPLOYED, I AM PREPARED TO SERVE ANYWHERE IN INDIA IN ANY DEPARTMENT / BRANCH OF THE
COMPANY, ITS ASSOCIATES OR SISTER CONCERNS AS AND WHEN DESIRED BY THE MANAGEMENT. ANY FALSE
INFORMATION GIVEN SHALL MAKE ME LIABLE FOR DISMISSAL FROM SERVICES.

PLACE:

DATE:

SIGNATURE OF THE APPLICANT.

FOR OFFICE USE ONLY

LAST SALARY DRAWN: ____________________________________________________________________________

(GIVE DETAILS ON A SEPARATE SHEET AND ENCLOSE)

REASON FOR CHANGE: ____________________________________________________________________________

SALARY EXPECTED: _______________________________________________________________________________